Dental Professionals Of Pennsylvania, P.C.
Dentist, General Practice in Yardley, PA. Organization (NPI-2).
NPI number1760085583
StatusActive
Last updated in NPPESNov 17, 2020
Details
- NPI
- 1760085583
- Entity type
- Organization (NPI-2)
- Legal business name
- Dental Professionals Of Pennsylvania, P.C.
- Organization subpart
- Yes
- Enumeration date
- Nov 17, 2020
- Certification date
- Nov 17, 2020
- Last updated
- Nov 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Shady Brook Family Dental (Doing Business As)
Practice location
404 Floral Vale BlvdYardley, PA 19067-5526
Phone 215-579-2500
Mailing address
404 Floral Vale BlvdYardley, PA 19067-5526
Authorized official
Tabatha Lemke
Credentialing Coordinator
2175406078
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All 28 General Practice Dentistry providers in Yardley · All 953 providers in Yardley
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